Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,137.13 / $10,531.50 / $16,197.90	Facility		$3,137.13	$10,531.50	$16,197.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,850.00 / $3,137.13 / $24,903.40	Professional		$2,850.00	$3,137.13	$24,903.40
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $15,290.28 / $23,240.77	Facility		$8,639.91	$15,290.28	$23,240.77
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $3,020.94 / $3,020.94 / $3,020.94	Professional		$3,020.94	$3,020.94	$3,020.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,675.48 / $5,721.37 / $12,852.35	Facility		$3,675.48	$5,721.37	$12,852.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,814.56 / $4,136.33 / $8,759.58	Professional		$1,814.56	$4,136.33	$8,759.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,304.44 / $5,228.55 / $7,358.70	Professional		$2,304.44	$5,228.55	$7,358.70
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,310.86 / $3,443.51 / $10,562.45	Facility		$3,310.86	$3,443.51	$10,562.45
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3,621.26 / $10,603.50 / $15,995.50	Facility		$3,621.26	$10,603.50	$15,995.50
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,788.56 / $3,292.05 / $15,995.50	Professional		$2,788.56	$3,292.05	$15,995.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,500.00 / $5,732.04 / $7,746.00	Professional		$4,500.00	$5,732.04	$7,746.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3,769.64 / $6,443.41 / $12,852.35	Facility		$3,769.64	$6,443.41	$12,852.35
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,039.05 / $4,136.33 / $8,759.58	Professional		$2,039.05	$4,136.33	$8,759.58
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3,761.36 / $3,873.00 / $3,873.00	Facility		$3,761.36	$3,873.00	$3,873.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,761.36 / $3,873.00 / $3,873.00	Professional		$3,761.36	$3,873.00	$3,873.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,626.66 / $2,323.80 / $5,171.22	Professional		$1,626.66	$2,323.80	$5,171.22